Restricted access switch (RAS) request form

This form must be submitted by one of the individuals legally authorized to bind the customer who owns and maintains electric gates.

For questions regarding this form, please contact SRP Commercial Customer Services at (602) 236-8833.

Step 1 of 5: Enter customer information

*Indicates a required field.

*Customer name

Customer address
*Address line 1
Address line 2
*City/town

 *State
*ZIP code
(enter as: nnnnn or nnnnn-nnnn)

Authorized contact person

Name
*First

 M.I.
 *Last

*Phone
--

Fax
--

E-mail

Gate Company (refers to the company that you use or would like to use to install SRP switches)
*Name


*Phone
--

Address
*Address line 1
Address line 2
*City/town

 *State
*ZIP code
(enter as: nnnnn or nnnnn-nnnn)

List locations of customer main, guest and restricted exit electric gate(s).

*


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